Active NPI
Raphaelle D. Vallera, MD
- Endocrinology, Diabetes & Metabolism Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- K1711
- Practice address
- 3417 Gaston Ave
Suite 980
Dallas, TX 75246-2016 - Phone
- (469) 800-8020
- Fax
- (469) 800-8030
- NPI assigned
- Aug 18, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | K1711 | TX | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | K1711 | TX | Primary |
Addresses
Primary practice location
3417 Gaston Ave
Suite 980
Dallas, TX 75246-2016
Mailing address
3417 Gaston Ave
Suite 980
Dallas, TX 75246-2016
Phone (469) 800-8020
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 900003262 | Other | TX | RAILROAD MEDICARE |
| 15857566 | Other | TX | PACIFICARE |
| 4242788002 | Other | TX | CIGNA |
| 031518601 | Medicaid | TX | |
| 1420298 | Other | TX | UNITED |
| 5487391 | Other | TX | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Hahnemann University College of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100
400 W Lyndon B Johnson Fwy
Irving, TX 75063-3700
4001 Worth St
Dallas, TX 75246-1608
Hospital & facility affiliations
- Baylor University Medical Center
- Baylor Scott & White Medical Center Plano
- Baylor Scott and White Medical Center Lake Pointe
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Howard J Heller MD PA | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
3417 Gaston Ave
Ste 980
Dallas, TX 75246
Phone (469) 800-8020
4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745
8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648
Interoperability endpoints
- rvallera226145@direct.sw.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
Endocrinology, Diabetes & Metabolism
-
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Endocrinology, Diabetes & Metabolism Physician
- Dallas, TX
- NPI 1891718011
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1447250253
-
- General Acute Care Hospital
- Rowlett, TX
- NPI 1205018439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1790777365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3417 GASTON AVE",
"address_2": "SUITE 980",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462016",
"telephone_number": "469-800-8020",
"fax_number": "469-800-8030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 GASTON AVE",
"address_2": "SUITE 980",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462016",
"telephone_number": "469-800-8020",
"fax_number": "469-800-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLERA",
"first_name": "RAPHAELLE",
"middle_name": "D.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-18",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TX",
"license": "K1711",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "TX",
"license": "K1711",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "900003262",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "15857566",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4242788002",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031518601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED",
"identifier": "1420298",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5487391",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.